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At first, people may simply feel not quite right. Common early symptoms include: Persistent fatigue Low energy Weakness Reduced exercise tolerance Difficulty concentrating Mild memory problems Irritability As deficiency progresses, neurological symptoms may appear

Gently push the needle into the skin until it wont go any further Step 18

___ AP video journalist Javier Arciga contributed to this story from San Diego ___ The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institutes Science and Educational Media Group and the Robert Wood Johnson Foundation

We offer telehealth consultations for initial visits and follow-ups